| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,677 |
1,573 |
$125K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
302 |
292 |
$32K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
659 |
634 |
$31K |
| 71045 |
Radiologic examination, chest; single view |
6,058 |
5,278 |
$29K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
575 |
533 |
$21K |
| 71046 |
Radiologic examination, chest; 2 views |
1,890 |
1,784 |
$12K |
| 73562 |
|
682 |
626 |
$7K |
| 73610 |
|
506 |
476 |
$7K |
| 73630 |
|
657 |
586 |
$7K |
| 73030 |
|
630 |
562 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
239 |
231 |
$6K |
| 73130 |
|
491 |
456 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
119 |
113 |
$5K |
| 70486 |
|
95 |
88 |
$3K |
| 72100 |
|
239 |
227 |
$3K |
| 72170 |
|
396 |
360 |
$3K |
| 73590 |
|
241 |
209 |
$3K |
| 93970 |
|
76 |
73 |
$2K |
| 73110 |
|
101 |
85 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$960.93 |
| 73560 |
|
89 |
70 |
$935.13 |
| 73080 |
|
83 |
67 |
$884.58 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
26 |
24 |
$832.22 |
| 76770 |
|
18 |
16 |
$672.96 |
| 74018 |
|
100 |
95 |
$496.09 |
| 73090 |
|
53 |
48 |
$479.95 |
| 76775 |
|
16 |
13 |
$443.67 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
14 |
14 |
$296.15 |
| 72110 |
|
13 |
13 |
$230.07 |
| 73502 |
|
31 |
29 |
$198.85 |
| 73552 |
|
29 |
28 |
$178.44 |
| 73620 |
|
19 |
16 |
$173.99 |
| 73060 |
|
12 |
12 |
$107.16 |